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	Contact Us * Required Title DR MISS MR MRS MS First Name * Last Name * Email Address * Company * Work Fax Number Web Address Applied To: Flat Surface Rough Surface Metal Glass Plastic Other Material: -- Please select -- Paper White Poly Silver Poly Reflective Film Polyimide (High Temp.) Paper Tag Poly Tag Other (Describe Above) Adhesive: -- Please select -- Permanent Removable Freezer Apply None Other (Describe Above) Width X Height Alternative Size Acceptable? Yes No Lamination For Added Durability? Yes No UV for scuff resistance? Yes No Perforations Required? None Between Labels Other (Describe Above) Print Data Sequential Variable Static Print Color(s) -- Please select -- 1 color (Not Black) 2 color 3 color 4 color 5 color 6 color 7 color Process Label/Tag Finishing Rolls Sheets/Stacked Fan Folded Labels Per Roll/Sheet/Fold Describe your application: Enter Word Verification in box below * Allied Label Printing Systems Inc 4190 Thurmond Tanner Rd P.O. Box 1743 Flowery Branch, GA 30542 770-967-7060 Phone 770-967-7177 Fax 800-883-5225 Toll Free 8:30am - 5:30PM M-F

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